i

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| NW 88326

Assassination Records Review Board |
Final Determination Notification

AGENCY : HSCA ;
RECORD NUMBER : 180-10068-10357
RECORD SERIES : STAFF PAYROLL RECORDS

AGENCY FILE NUMBER :

December 8, 1995
Status of Document: —_ Postponed in Part

Number of releases of previously postponed information: 9

Reason for Board Action: The Review Board's decision was premised on several factors
including: (a) the significant historical interest in the document in question; (b) the
absence of evidence that the release of the information would cause harm to the United
States or to any individual.

Number of Postponemenis: 8

' Postponements: All the postponements in this document represent Social Security numbers.

Reason for Board Action: The text is redacted because the public disclosure of the redaction could

‘reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of

privacy would be so substantial that it outweighs the public interest.
Substitute Language: SSN

Date of Next Review: 2017

Board Review Completed: 10/24/95

Dochd:37243323 Page 1

‘Date:08/20/93
| Page:1
JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION |

HSCA

AGENCY 7
180-10068-10357

RECORD NUMBER

RECORDS SERIES :
STAFF PAYROLL RECORDS

AGENCY FILE NUMBER :

ORIGINATOR :
FROM :
TO ¢

TITLE :

DATE
PAGES

12/30/76
9 .

_ SUBJECTS :
HSCA, ADMINISTRATION
GOFREY, JANE E.

DOCUMENT TYPE PRINTED FORM

CLASSIFICATION : U
_ RESTRICTIONS : 3
CURRENT STATUS : P

DATE OF LAST REVIEW : 07/07/93

OPENING CRITERIA

COMMENTS
Box. #:1.

[R] - ITEM IS RESTRICTED

| ‘NW 88326
Dechd:37243323 Page 2

“PAYROLL AUTHORIZATION Foy | | —

or
cn

(Please Use Typewriter - “»=—“ UU. S$. “HOUSE OFS REPRESENTATIVES (Any erasures, corrections, or changes .
’- or Ballpoint Pen) -_ os Washington, D.C. 20515 : . on. this form must-be initialed: by tne

authorizing official.) -
To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

“Employee Name (First-Middle-Last) oa so 7 } Effective Date

ee

wane £. Godfrey . Daceaber 1, 1978
Employee Social Security Number’ = - sd _ ‘Type of Action.

C) Appointment

4) Salary Adjustment .

C] Title Change

O Termination (At close of business on effective date}

C Leave without pay (Beginning with effective date above and ending |
close of business :

Specify Date

(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate-information below.)

___Gross Annual Salary* 4
fo | | $23,400.00 ao
i. . * if employee i is a civil service annuitant (includes U.S. House of Representatives); the gross annual salary shown’ should include the 2 annvity received by the employee %
plus the salary received from the employing office. |

(If Committee Employee, complete appropriate item below.) 4 r

1.0 — Sten Committee: Staff—O] Clerical or (1 Professional. | = \

3. 0) Joint. Committee.

(If Employee of an Officer of the House, complete item below.)

Position Number___ es If applicable, Level________ Step__-

| certify. that this authorization is not. in: violation of ‘S ULS.C.°3110(b), prohibiting ‘the employment of: ~
relatives. . wey te

te oacemer lio 78

(Signature of Authorizing Official)

a LOUIS STOKES

All appointments and ‘salary adjustments. for: ‘employees under the House Classification Act-dnd for Committee em: a :

ployees,. except those-of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, ‘Must ©
be approved by the Committee on House Administration. 7

APPROVED:.____. _
Chairman, Committee on House Administration .

Office of Finance use only: 2
od
_ Office Code S
Monthly Annuity. $. a 4
’ _ (Revised: A August 1 1977) “ E
- Copy: for Initiating Office: or: ‘Committee ~ nC re: :
dee nee Bee a IEEE:

W 88326 : Fn ee
1d:32243323 Page 3 i aor 7

PAYROLL AUTHORIZATION FORM .

(Please Use Typewriter U. S. HOUSE OF REPRESENTATIVES ( . (Any erasures, corrections, or changes

or Ballpoint Pen) aan Washington, D.C. 20515 . > On this form must " initialed by the

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

_ Employee Name (First-Middle-Last) - |
Jane E. Godfrey

. __ Employee Social Security Number

Effective Date

12/31/78
Type of Action

O Appointment
C) Salary Adjustment
O Title Change

we:
4] Termination (At close of business on effective date)

Employing Office: or’ Committee/Subcommittee

C) Leave without pay (Beginning with effective date above and ending

Assassinations close of business_. )

Specify Date

(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)

Position Title Gross Annual Salary*

* If employee is a civil service annuitant includes U.S. House of Representatives), the gross annual salary shown should include the annuity received by the employee
plus the salary received ‘from the ‘employing office.

(If Committee Employee, complete appropriate item below.)

i. 1 Standing Committee: Staff—C] Clerical or 0 Professional. .

2. Al Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res22¢ of 2k Congress.

-——_— — —— ee

-3. O Joint Committee:

(If Employee of an Officer of the House, complete item below.)

Position Number If applicable, Level_

“| certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of

relatives.
January z 73
Date.__-_ and woe a
, ignore of Authorizing Official) ,
LOUIS STORE
‘(if appropriate, signature of Subcommittee Chairman or Ranking Minority Member). = “(Type or print nome of Authorizing Oficial) |
* CHATAMAT

es "(Type of print name and title of above official. ===. ~=~=SSS=Ss*S*«C*é<“<~S~S*é“‘“=;s:*:*S”SS AI Member District and State)

mrt ee ee ee ee ee ee ee en ee ee

_ All appointments and salary adjustments for employees under the House Classification Act and for Committee em-. -
ployees, except those of the Committee on. Appropriations, the Committee on the Budget, and the Joint Committees, ‘must.
be approved by the Committee on House Administration. . : :

APPROVED:

Office of Finance use only: . ; ID.
| _ Office Code. Benefits.....__.............
| _ Monthly Annuity $.--<-.----9 -asofoo Payroll... |

Mitte

a

te he _ . woo Pol Se tone eg aa
LES athe at Daath ey
‘

(Revised: August 1, 1977) oS

NW 88326 FO nn ae
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(Any erasures, ‘corrections; ‘or-changes. :

: : ‘Washington, D. c: 20515" “authorizing official.)

-Fo-the: Clerk: of the: House: of Representatives: Oc

mye thereby authorize the following payroll action:::: CREME ya Pian

we Employee Name (First: -Middle- -Last):
_ dane E. Godfrey

Employee. Social: Security Number.»

19-36-4081

7 “Employing. Office: or Committee.
~" Assassinations.

ou lPtype of actions an Appointment.or Salary Adjustment;;complete the following information?) :

Position. Title ~-Gross’ Annual. Salary

office Nanager 3Y7. 106

ostc(l& Comm i teem ployeé,:complete appropriate:item-below.) ::

‘Standi ng:Committee: Staff+[-"]:Cléricak or f] Professional:

24 cc Special. or. Select.Committee: AuthoritycH: Res.

(IE Employee'of an-Officer:of. the-House;*complete:iten-below,)>:

| vw

ae Position . Number lf applicable, Level_.

i (Type or print name of Authorizing Official).

_ Shairman -

(Title —IF Member, District and State}

. All-appointments .and -salary.. -adjustments-for employees:under :the:-House. Glassification:Act. and for-Committeevem-
“ployees;: except:those of the-Committee:on. Appropriations,’ the. -Gommittee -on. the “Budget, and the: Joint’ Committees;, must’

-be approved -by.:the Committee on-House Administration: :

APPROVED:

‘Chairman, Committee ori House Administration .

_ Office of Finance use e only: Zo
Office Code

Sones Copy for initiating. Office or Committee-.~

- ~ oe tee a ete eo nee

son. this form must be. initialed, by. the. s

o “Termination (At close.of business on effective.date):. 2s. -= [38 ~

88326 Sm
1d:32243323 Page 5

PAYROLL AUTHORIZATION -FORM. Be

- ees 1  (Please-Use“Typewriter, - 4. S. “HOUSE: OF REPRESENTATIVES on Any. erasures; corrections,-or:changes =

ans Darl ee i een on-this form must be initialed 1 by: the
| or: Ballpoint Pen)°) > Washington, D.C. 20515 ~ authorizing official.) ws

To the Clerk of the House of Representatives:., 2-0 eo

_. thereby authorize the following payroll actions: +

i = Employee Name. (First -Middle- -Last). - ee eee Effective Date mes
| Jane E. Sodfrey 8/1477

a _ Employee-Social Security. Number. ee fe te Type of Action oe hares
fo Tid 36-4041

(_] Appointment

| Employing Office or Committee -- = = ae Salary Adjustment Po:

| ° ° ;

| : . Assassinations . 7 + (J Termination (At close of business on effective date) -

- . ¥ bag

. . . .

| (If type of action is an Appointment or Salary Adjustment, complete the following information.) #5 oy
| , .

Position Title a . Gross Annual Salary

Secy retary

- (If Committee Employee, complete appropriate item below.): 20 sv.

1. im Standing Committee: Staff—[-] Clerical-ort_}: Professional.
465. of - 5th,

2. a Special or Select Committee: Authority = H.. Res. 7 of .-Congress.

3. 7 Joint Committee.

~ (If Employee of.an Officer. of the House, complete item below.) ::: Beg tia a Sie tte

_ Position Number ee | applicable, Level_

“Gignanure of Authorizing Official) -.

ae Louts STORES

ra a (ype o or printname of Authorizing Official). 2
a CHATRHA y :

 All-appointments,:and. salary.adjustments.for. employees: under. the House. Classification: Act-and:.for. Committee em-:
. " ployees, -except those of the :Committee-on Appropriations,.t the ‘Committee: on-the: Budgeti< cand, the: Joint: Committees, must: ae
~ be approved: by the-Gommittee.on ‘House: Administration: wok Tg REDE MEEPRIE A ge Set oe A Tee ten a aries

_ APPROVED:

[a
a
as Chairman, Committee on House Administration ee a re |
3

Office of Finance use onlyzs poe a Sun ge og ge at ee ve bo
Office Code

}

- Copy for Initiating Office. or Committee. 6 0»
| NW 88326 | | On a .
rochd:32243323 Page 6 é : weet! }

PAYROLL: AUTHORIZATION FORM

:(Please-Use: Typewriter oa cu S: HOUSE: OF. REPRESENTATIVES “soos: vs (Any erasures,.corrections; or changes’:

oe oo a, ". on. this form must be. initialed by the. —
7 or. ‘Ballpoint Pen). - Jo. . Washington, D. C: 20515: © - . authorizing official.) | :

- To the Clerk of the House of Representatives: .. ~:~.

- |:hereby authorize the following payroll action:

_ Employee Name (First-Middle- Last) oe : Effective Date

sane 2 E. Godfrey
ae _Employee Social. Security Number

= 36 4041

Type: of Action Cotes
(J Appointment

Employing Office or Committee -—- [Slory Adjustment Bo AB eee |
_ ASSaSsinatiges |

oO Termination (at close of business on n effective date)

ALE type « of action is-an. Appointment, or-Salary. Adjustment; -complete:the following information).. -

Position Tile ee Gross Annual Salary

(If Committee Employee, complete appropriate item below.) -..

- Oo Standing Committee: Staff—[_] Clerical or {J Professional: ~.”

2 Special or Select Committee: Authority=H. Res. S60 of #3EA Congress. -

. 30 Joint Committee. -

cea vt
BaL gn ey

: (If Employee -of.an Officer of the House; complete'item. below,). a

‘Step. tae

: Position Number || applicable; Level_

ns certify. that. this -.authorization.. is -not..in «violation »of. 5. US.C: 31108, prohibiting «the: employment. ‘of.
relatives. connate :

Bast
reas

"(Signature of Authorizing Official):

a Lowis SEGKES

“(Type or print name of Authorizing Official)

Chat HAR

; “All appointments and: salary: adjustments. for employees. .under:the: House ‘Classification. Act.and for. Committee ems
“ployees,, exceph:, those-of: the-Committee on. Appropriationsi the. Gommittee-‘on. the. Budget;:-and.- the Joint. Committees;- musty +.
-. be approved by the Committee-on. House: Administration. 291) oc.) cl be a ee ee ee

_ APPROVED: sone nnn ee ee ee _

Poy on : a See = . » Chairman, Committee-on House Administration -. 5. 0) les

| Office ‘of Finance use only:

Offe Code

ON me eke a ewe eee a ns 6 ne


SSS SS ee eT a eee —————e————eEeEEeeeeeeee—— = "= ee ee ere retro
—_ <a eee Pena ras

PAYROLL AUTHORIZATION FORM

.. (Please Use Typewriter => ~~ UL S: HOUSE OF REPRESENTATIVES “oo “(Any erasures; corrections, or changes:

7 aD Loe. an -on this form must be initialed by the
or Ballpoint Pen) Washington, D.C. 20515 authorizing official.)

To the Clerk of the House of Representatives:

‘| hereby authorize the following payroll action:

Employee Name (First-Middle-Last) ef Effective Date

dane E, Godfrey. ao | IT
os Employee Social Security Number or Bae Type of Action

179 36 464] . OT Appointment

Employing Office or Committee: | & Salary Adjustment

L] Termination (At close of business on-effective date]

” Assassinations

(If type of action is an Appointment or Salary Adjustment, complete the following information,): .*

Position Title ; a ° Gross Annual Salary

$26,000

sien aii Velie sk tinal “cael!

(If Committee Employee, complete appropriate item below.)

7 O Standing Committee: Staff—[_] Clerical or [[] Professional.

2. [Al Special or Select Committee: Authority—H. Res.. 465__. of . 85&8Congress.

et

3. 0 Joint Committee.

(If Employee of an Officer of the House, complete item below.}

Ht applicable, Level Step_oo2-

Position Number

a
|
F
ae
3
wad
-

a certify that. this: authorization .is not- in violation of 5. US.C..:3110(b), prohibiting the: employment’ of"

relatives,
Date. ---_ Apeil 29.0019 07 ¢ ew é
, ™ a . (Signature of Authorizing Official)
. a
_._. Lowis Stokes
fo (Type or print name of Authorizing Official) a
“ 4
en Chairman 0 _
¥ . (Title—!f Member, District and Sot

All appointments and ‘salary:adjustments for-employees ‘under-the ‘House Classification:Act and for: Committee em- *
= ployees;vexcept those. of the Committee on Appropriations;.the: Committee on the. Budget." “and ‘thes Joint Committees; ‘must |
I's be approved by, the Committee on House Administration: ee . :

"APPROVED...

Chairman, Committee on House Administration

Office of Finance use only:

Office Code

| NW 88326 Fn a
Nocid:32243323 Page § f Pgecty : :


J SN co? Co |
: ~ PAYROLL AUTHORIZATION wi) ~ ao v
f
(Please Use Typewriters \_ % ‘U. Ss. ‘HOUSE Q OF: REPRESENTATIVES \__; 3 (any erasures, corrections, or changes. ~:
| ee 8 cif aint Be yo a Washin ton, D.C. 90515. n this form: must be. initialed by the - .
i oo -or Ba Point ben ashing mo "authorizing official.) -
an .
| To the Clerk of the House of Representatives: | om a
|. hereby authorize the, following payroll action: » 9, . we -
. “ . —_ | 7 .
: to. a “Employee Name (First-Middle-Last) pa Effective Date
| _ - 7 — —— a -
| Jane Elizabeth Godfrey. o~ _ Ls S S97 oe oe
1s os . Type of Action , .
ot : ag 36 4047 . = 7 : a 0 Appointment ~ an _
Noo de -_ Employing Office or. ‘Committee _ a a0. Salary Adjustment t ~
! o
| - Select Conmmtttes on Agsasst nati fans” , oO Termination (At close of business on effective date)
~ _ 7 a _ 5
| (If type of action is an Appointment or Salary Adjustment, complete the following information.), ie
: Position Title = oo, ; Gross Annual Salary
. . J - a Ooo. 7 .
(If Committee Employee, complete appropriate item below.) > ~~: or a oF
. + - . : Jy . Ly : ° ; “ , 7 aad -
! a 1. [T Standing Committee: Staff} Clerical or] Professional. ae ay |
J Vy ‘ ae = 7
| - 2:4) Special or Select Committée: Authority ~H. Res ___-LE-_ of ABRs. Congress, “
pS * 3. [-] Joint Committee. — - ‘ os - - 7
a oy oo 5 &
| (If Employee of an Officer of the House; complete.item below.) _ . C-
Position Number___-__ If opplicable, level... Step.
certity ' at ¢ Is “aut orization is not in vio ation -.0 ronibitin t e employment .of :
me 6 h i h | F5, U.S.C” ST10(b). prohibiting th loy. f
“relatives. - , - . _
Date. pgtt en nee.
. ; ’ WGignature of Authorizing Official) : Lf
> Henry B. Gengatez
/ r : ; a (Type or print name of Authorizing Officio _ ~
- Pa 2A -
4 ; — (Title If Member, District and Stare) :

_> All-appointments and:-salary adjustments for employees: under the House Classification Act and for Committee em=

- “ployees, except -those of the Committee-on Appropriations, the Committee on-the Budget, and the Joint Committees, § must: 7
--be approved by the Committee on House Administration. ‘ oe mo, 7 : a
\
~ APPROVED: a a _
Ns

- Chairman, Committee‘on House Administration .

co. 7 ;

, Office of Finance use only:

- Office Code

| NW 88326 | | FO poe
iocld:32243323 Page 9 i es :


‘ PAYROLL AUTHORIZATION. FORM.

or Ballpoint Pen). '
* To the Clerk’of the House of Representatives:
| hereby authorize the following payroll action:

Employee Name (First-Middle-Last).-

boat rey

(If Committee-Employee, complete appropriate item below.)

‘(Please Use Typewriter. - th U: Ss. HOUSE OF. REPRESENTATIVES G (Any erasures, corrections, or-changes ...
oo Washington? D.0.:20515 = 9°

n this form; must. be: initialed: by ‘the
+ authorizing official.) ~~~ =

. Ok a
“ Effective Date ,
December 30, 1976 | |
... | 414] Appointment : ;
: D Solary Adjustment : ee , |
a
:
i
|
|
|
|
|
i

Cc . . .
1. [] Standing Committee: Staff— — | Clerical or[_] Professional. - te, Lee SL, oo 4 \
- 28) Special-or Select Committee: Authority~ Hy Res.. AAO ~_of SEEN Congress ; a | \
3. OO Joint Committee. : 7 ;
. : . . . ~ i
(If Employee of.an Officer of the House, complete item below.) roe _ Foe RD nt She
. foo one .
Position Number_¢ lf applicable, Level. - Step_ a2. Be pe
|- certify” that. this authorization. ig not. in violation: “of 5. U. S.C. -31.10(b):* prohibiting : the employment of -
relatives. ’ - ,
apt cae aie ay ~~ 7& 2 4 / _
Date EUS ey a3 .19 fae a , __ 4
ra ee Te “(Signature of Authoruing Officio) 7 oo so Sd
i _ - ‘Thomas 8. gewaing, Chairman . © -
OF : Type or print nome of Authorizing Official.) oo ~ |
; “Sélect Cémmittes on Assassinations .
; oo _ Title “If Member, District and State) Cee ~
oA appointments and salary adjustments for employees: under: the: House: Classification-Act.and ‘for: Committee emai 8 - | o!
ployees;. except -those-.of. thesGommittee’ on:Aippropriations; “thes ‘Committee. -on-the Budget;and=the:Joint. Committees; must:
be approved. ‘by. the Committee -on House Administration: : ey Meh ns Dhow \
‘ — . , - ” ~ . i
ooo oo , oe, APPROVED: _ te oe So |

Office of Finance use only:

Office Code


“MEMORANDUM

yor ALL Staff Employees _
"PROM: Budget Officer
|) DATE: January 3, 1977.

“ORE Payroll Certification _

. Starting with the January, 1977 payroll, the ‘certification
to ‘the House Finance Office requires, among other things, the . 7
=. “xelationship, if.any, of each staff employee to any current.
_ Member of Congress (those taking office January 3, (1977).

: 2 the ‘following are the relationships to be included in
_ the certification: |. . oO : ae

father os Bee oe nephew ee brother-in-law. Lo
mother mice sister-in-law
Pe gon husband oS stepfather 0 0
Po daughter. Co wife 0 stepmother 9%
“!\, brother =, father-in-law “.-. < stepbrother -
. sister 0. 0). mother-in-law > stepsister
~yunele son-in-law = “half-brother —
aunt ©. ! daughter-inlaw. © =, half-sister ©

_ first cousin a Soe, 7 oo ; Ce tee : a coe

ln nn Ft woe .

oe ALL ‘staff employees are “requested to. complete this
“form and YFeturn it to the Budget officer.— . oo

- Approved es
Richard A. Sprague

oT am. not related’ - Vaan

aT am “related by the. following relationship.

|

4

—— oe | | we ee
| NW 88326 | FO nn fe
| — 32243323 Page 11 ‘ Shao! 7

aes

